Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MEMORIAL HEALTHCARE SYSTEM, INC

Chattanooga, TN · CCN 440091 · Rates published

9,129 distinct procedures filed
14 distinct payers
221,079 rate rows
2026-02-28 last MRF observed
Data quality

185,551 of 221,079 rate rows are consumer-grade (83.9%)

35,528 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 17,553
template filing: same amount across many unrelated codes — excluded 15,359
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,919
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 324
per-diem day rate — not a per-procedure price 202
exceeds 10× this hospital's gross charge — excluded from medians 142
placeholder amount (≤ $0.02) — excluded from medians 19
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/chime/sotg/finance/price-transparency/620532345_chi-memorial-hospital-chattanooga_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/memorial-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 9ca43f4711259253… · 40,329,724 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
C9293
HCPCS 		Glucarpidase 1000 Unit Intravenous Solution 8 $180.37 $252,373.70 $184,084.35 nat. median
$57,284
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $30,330.00 $360,871.00 $167,404.57 nat. median
$131,925
1.3× median
J1747
HCPCS 		Spesolimab-sbzo 60 Mg/ml Intravenous Solution 8 $39,517.66 $159,952.42 $120,434.76 nat. median
$76
outlier · 1593.3×
215
MS_DRG 		Other Heart Assist System Implant 10 $41,770.00 $200,895.00 $109,607.50 nat. median
$73,023
1.5× median
612
MS_DRG 		No Active Code Description 1 $106,007.00 $106,007.00 $106,007.00 nat. median
$21,586
outlier · 4.9×
453
MS_DRG 		No Active Code Description 3 $48,490.00 $117,978.00 $96,256.50 nat. median
$2,106
outlier · 45.7×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $2,904.00 $180,291.00 $95,295.96 nat. median
$74,509
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $36,480.00 $175,452.00 $92,402.14 nat. median
$2,736
outlier · 33.8×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 10 $43,032.00 $206,961.00 $89,322.43 nat. median
$59,651
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $34,224.00 $164,600.00 $85,131.10 nat. median
$69,822
1.2× median
222
MS_DRG 		No Active Code Description 2 $34,893.00 $98,671.00 $82,760.00 nat. median
$2,024
outlier · 40.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 9 $32,059.00 $154,188.00 $81,256.98 nat. median
$2,633
outlier · 30.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $22,188.00 $113,545.00 $77,684.95 nat. median
$52,327
1.5× median
224
MS_DRG 		No Active Code Description 2 $28,414.00 $91,359.00 $76,627.00 nat. median
$2,024
outlier · 37.9×
633
MS_DRG 		No Active Code Description 1 $73,884.00 $73,884.00 $73,884.00 nat. median
$8,940
outlier · 8.3×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 $29,027.00 $139,603.00 $73,571.35 nat. median
$2,596
outlier · 28.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $26,103.00 $125,541.00 $73,469.00 nat. median
$48,611
1.5× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 11 $21,139.00 $128,905.00 $72,738.87 nat. median
$60,505
1.2× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $14,117.00 $105,133.00 $71,474.42 nat. median
$49,569
1.4× median
459
MS_DRG 		No Active Code Description 3 $47,791.00 $85,479.00 $70,860.00 nat. median
$2,106
outlier · 33.7×
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $17,888.00 $96,205.00 $69,752.00 nat. median
$41,943
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $20,842.00 $100,242.00 $69,713.30 nat. median
$47,121
1.5× median
226
MS_DRG 		No Active Code Description 2 $34,902.00 $82,488.00 $69,187.00 nat. median
$2,024
outlier · 34.2×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $18,156.00 $118,903.00 $68,512.98 nat. median
$55,935
1.2× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 10 $21,819.00 $104,938.00 $68,288.93 nat. median
$47,340
1.4× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $36,909.00 $182,112.00 $68,008.10 nat. median
$55,923
1.2× median
631
MS_DRG 		No Active Code Description 1 $65,243.00 $65,243.00 $65,243.00 nat. median
$29,552
outlier · 2.2×
454
MS_DRG 		No Active Code Description 3 $28,324.00 $78,493.00 $65,206.50 nat. median
$2,106
outlier · 31.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $11,879.00 $101,599.00 $64,908.50 nat. median
$37,013
1.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 $25,601.00 $150,517.00 $64,679.44 nat. median
$44,036
1.5× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $14,723.00 $93,679.00 $64,319.41 nat. median
$43,299
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $24,706.00 $118,825.00 $62,651.99 nat. median
$9,905
outlier · 6.3×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 10 $26,973.00 $129,726.00 $62,447.40 nat. median
$42,674
1.5× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 $13,346.00 $93,351.00 $62,182.50 nat. median
$38,844
1.6× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 $15,651.00 $88,569.00 $59,553.65 nat. median
$40,726
1.5× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 $23,333.00 $112,222.00 $59,141.28 nat. median
$2,958
outlier · 20.0×
834
MS_DRG 		Acute Leukemia With Mcc 10 $19,731.00 $94,898.00 $58,810.35 nat. median
$37,487
1.6× median
J8499
HCPCS 		Nintedanib 150 Mg Capsule 8 $19,211.92 $77,762.50 $58,550.59 nat. median
$12
outlier · 4924.4×
653
MS_DRG 		Major Bladder Procedures With Mcc 10 $15,909.00 $84,801.00 $58,082.19 nat. median
$36,547
1.6× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 10 $14,734.00 $82,160.00 $56,912.92 nat. median
$38,795
1.5× median
223
MS_DRG 		No Active Code Description 2 $24,586.00 $67,253.00 $56,409.00 nat. median
$2,024
outlier · 27.9×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $21,942.00 $105,529.00 $56,388.22 nat. median
$47,458
1.2× median
225
MS_DRG 		No Active Code Description 2 $23,213.00 $65,179.00 $54,669.00 nat. median
$2,024
outlier · 27.0×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 10 $12,323.00 $77,499.00 $54,343.29 nat. median
$36,541
1.5× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 10 $16,479.00 $79,257.00 $54,333.04 nat. median
$37,725
1.4× median
227
MS_DRG 		No Active Code Description 2 $27,653.00 $64,702.00 $54,269.00 nat. median
$2,024
outlier · 26.8×
636
MS_DRG 		No Active Code Description 1 $53,972.00 $53,972.00 $53,972.00 nat. median
$9,021
outlier · 6.0×
326
MS_DRG 		Stomach Esophageal And Duodenal Procedures With Mcc 10 $16,937.00 $81,457.00 $53,692.72 nat. median
$35,986
1.5× median
J9272
HCPCS 		Dostarlimab-gxly 50 Mg/ml Intravenous Solution 8 $17,562.20 $71,085.09 $53,522.89 nat. median
$567
outlier · 94.4×
33276
CPT 		Inst Phrnc Nrv Stim Sys 3 $5,079.00 $57,193.50 $53,108.25 nat. median
$44,163
1.2× median

Other procedures at this hospital

Browse this hospital's 9,129 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 16 8 $296,910.23 $125,593.03 58% off $180.37 $252,373.70 $184,084.35 2026-02-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 10 — — $30,330.00 $360,871.00 $167,404.57 2026-02-28
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 15 8 $188,179.31 $79,599.85 58% off $39,517.66 $159,952.42 $120,434.76 2026-02-28
215 MS_DRG Other Heart Assist System Implant 18 10 — — $41,770.00 $200,895.00 $109,607.50 2026-02-28
612 MS_DRG No Active Code Description 1 1 — — $106,007.00 $106,007.00 $106,007.00 2026-02-28
453 MS_DRG No Active Code Description 4 3 — — $48,490.00 $117,978.00 $96,256.50 2026-02-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 10 — — $2,904.00 $180,291.00 $95,295.96 2026-02-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $36,480.00 $175,452.00 $92,402.14 2026-02-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 10 — — $43,032.00 $206,961.00 $89,322.43 2026-02-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $34,224.00 $164,600.00 $85,131.10 2026-02-28
222 MS_DRG No Active Code Description 3 2 — — $34,893.00 $98,671.00 $82,760.00 2026-02-28
850 MS_DRG Acute Leukemia With Other Procedures 14 9 — — $32,059.00 $154,188.00 $81,256.98 2026-02-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 10 — — $22,188.00 $113,545.00 $77,684.95 2026-02-28
224 MS_DRG No Active Code Description 3 2 — — $28,414.00 $91,359.00 $76,627.00 2026-02-28
633 MS_DRG No Active Code Description 1 1 — — $73,884.00 $73,884.00 $73,884.00 2026-02-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 9 — — $29,027.00 $139,603.00 $73,571.35 2026-02-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 10 — — $26,103.00 $125,541.00 $73,469.00 2026-02-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 11 — — $21,139.00 $128,905.00 $72,738.87 2026-02-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 10 — — $14,117.00 $105,133.00 $71,474.42 2026-02-28
459 MS_DRG No Active Code Description 4 3 — — $47,791.00 $85,479.00 $70,860.00 2026-02-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 10 — — $17,888.00 $96,205.00 $69,752.00 2026-02-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 10 — — $20,842.00 $100,242.00 $69,713.30 2026-02-28
226 MS_DRG No Active Code Description 3 2 — — $34,902.00 $82,488.00 $69,187.00 2026-02-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 11 — — $18,156.00 $118,903.00 $68,512.98 2026-02-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 10 — — $21,819.00 $104,938.00 $68,288.93 2026-02-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $36,909.00 $182,112.00 $68,008.10 2026-02-28
631 MS_DRG No Active Code Description 1 1 — — $65,243.00 $65,243.00 $65,243.00 2026-02-28
454 MS_DRG No Active Code Description 4 3 — — $28,324.00 $78,493.00 $65,206.50 2026-02-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 10 — — $11,879.00 $101,599.00 $64,908.50 2026-02-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 10 — — $25,601.00 $150,517.00 $64,679.44 2026-02-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $14,723.00 $93,679.00 $64,319.41 2026-02-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $24,706.00 $118,825.00 $62,651.99 2026-02-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 10 — — $26,973.00 $129,726.00 $62,447.40 2026-02-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 10 — — $13,346.00 $93,351.00 $62,182.50 2026-02-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 10 — — $15,651.00 $88,569.00 $59,553.65 2026-02-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 9 — — $23,333.00 $112,222.00 $59,141.28 2026-02-28
834 MS_DRG Acute Leukemia With Mcc 18 10 — — $19,731.00 $94,898.00 $58,810.35 2026-02-28
J8499 HCPCS Nintedanib 150 Mg Capsule 15 8 $91,485.29 $38,698.28 58% off $19,211.92 $77,762.50 $58,550.59 2026-02-28
653 MS_DRG Major Bladder Procedures With Mcc 18 10 — — $15,909.00 $84,801.00 $58,082.19 2026-02-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $14,734.00 $82,160.00 $56,912.92 2026-02-28
223 MS_DRG No Active Code Description 3 2 — — $24,586.00 $67,253.00 $56,409.00 2026-02-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $21,942.00 $105,529.00 $56,388.22 2026-02-28
225 MS_DRG No Active Code Description 3 2 — — $23,213.00 $65,179.00 $54,669.00 2026-02-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 10 — — $12,323.00 $77,499.00 $54,343.29 2026-02-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 10 — — $16,479.00 $79,257.00 $54,333.04 2026-02-28
227 MS_DRG No Active Code Description 3 2 — — $27,653.00 $64,702.00 $54,269.00 2026-02-28
636 MS_DRG No Active Code Description 1 1 — — $53,972.00 $53,972.00 $53,972.00 2026-02-28
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 18 10 — — $16,937.00 $81,457.00 $53,692.72 2026-02-28
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 15 8 $83,629.51 $35,375.29 58% off $17,562.20 $71,085.09 $53,522.89 2026-02-28
33276 CPT Inst Phrnc Nrv Stim Sys 5 3 $81,705.00 $34,561.22 58% off $5,079.00 $57,193.50 $53,108.25 2026-02-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 10 — — $25,486.00 $122,576.00 $52,973.73 2026-02-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 11 — — $15,897.00 $92,926.00 $52,956.12 2026-02-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 10 — — $18,235.00 $87,699.00 $52,860.99 2026-02-28
681 MS_DRG No Active Code Description 1 1 — — $52,415.00 $52,415.00 $52,415.00 2026-02-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 10 — — $23,382.00 $112,454.00 $52,072.22 2026-02-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 11 — — $16,669.00 $89,510.00 $51,805.01 2026-02-28
471 MS_DRG Cervical Spinal Fusion With Mcc 18 10 — — $17,956.00 $101,726.00 $51,674.88 2026-02-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 10 — — $23,499.00 $113,017.00 $51,525.00 2026-02-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 11 — — $19,947.00 $95,936.00 $51,363.50 2026-02-28
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $13,752.00 $72,330.00 $51,320.38 2026-02-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $24,341.00 $117,066.00 $50,506.50 2026-02-28
455 MS_DRG No Active Code Description 4 3 — — $26,070.00 $61,703.00 $50,189.50 2026-02-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 11 — — $24,487.00 $117,772.00 $49,869.67 2026-02-28
245 MS_DRG Aicd Generator Procedures 18 10 — — $15,803.00 $76,003.00 $49,784.99 2026-02-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $13,860.00 $72,316.00 $49,779.50 2026-02-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $20,935.00 $117,126.00 $49,703.94 2026-02-28
163 MS_DRG Major Chest Procedures With Mcc 18 10 — — $14,127.00 $70,115.00 $49,277.29 2026-02-28
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 18 10 — — $10,511.00 $82,581.00 $48,975.00 2026-02-28
J9321 HCPCS Epcoritamab-bysp 0.16 Mg/ml Subcutaneous Solution 60 8 $84,564.51 $35,770.79 58% off $2,021.91 $243,043.51 $48,848.37 2026-02-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 9 — — $19,160.00 $92,152.00 $48,550.95 2026-02-28
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 15 8 $75,781.15 $32,055.43 58% off $15,914.05 $64,413.98 $48,499.94 2026-02-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 9 — — $19,038.00 $91,564.00 $48,254.57 2026-02-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 10 — — $12,651.00 $69,852.00 $48,146.74 2026-02-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 18 10 — — $7,735.00 $75,545.00 $48,126.74 2026-02-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 10 — — $13,763.00 $68,630.00 $47,226.00 2026-02-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $19,742.00 $94,947.00 $47,199.50 2026-02-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 10 — — $19,414.00 $93,372.00 $47,147.50 2026-02-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 18 10 — — $22,616.00 $108,770.00 $46,772.12 2026-02-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 10 — — $14,272.00 $68,642.00 $46,497.99 2026-02-28
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 30 8 $77,455.90 $32,763.85 58% off $11,947.95 $83,314.30 $46,234.15 2026-02-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 11 — — $12,308.00 $80,931.00 $46,211.02 2026-02-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 16 9 — — $3,789.00 $88,287.00 $45,989.32 2026-02-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 9 — — $17,923.00 $86,201.00 $45,428.37 2026-02-28
901 MS_DRG Wound Debridements For Injuries With Mcc 18 10 — — $9,931.00 $67,397.00 $45,237.00 2026-02-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 10 — — $11,507.00 $64,890.00 $45,163.82 2026-02-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 10 — — $18,430.00 $88,638.00 $44,856.00 2026-02-28
J2267 HCPCS Mirikizumab-mrkz 300 Mg/15 Ml (20 Mg/ml) Intravenous Solution 15 8 $69,448.08 $29,376.54 58% off $14,584.10 $59,030.87 $44,446.78 2026-02-28
J9333 HCPCS Rozanolixizumab-noli 140 Mg/ml Subcutaneous Solution 60 8 $77,562.71 $32,809.03 58% off $9,339.25 $112,805.97 $44,296.38 2026-02-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 10 — — $13,588.00 $65,351.00 $44,041.19 2026-02-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 11 — — $14,998.00 $72,133.00 $43,819.94 2026-02-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 11 — — $19,000.00 $103,953.00 $43,712.00 2026-02-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 9 — — $21,530.00 $103,547.00 $43,655.55 2026-02-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 10 — — $14,963.00 $71,966.00 $43,103.71 2026-02-28
140 MS_DRG Major Head And Neck Procedures With Mcc 18 10 — — $3,513.00 $66,631.00 $42,327.63 2026-02-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 10 — — $10,567.00 $61,873.00 $41,895.50 2026-02-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 10 — — $15,524.00 $76,110.00 $41,199.88 2026-02-28
646 MS_DRG No Active Code Description 1 1 — — $40,813.00 $40,813.00 $40,813.00 2026-02-28
616 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 18 10 — — $10,946.00 $58,794.00 $40,800.60 2026-02-28
956 MS_DRG Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 18 10 — — $24,521.38 $142,554.00 $40,703.14 2026-02-28
628 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc 18 10 — — $12,839.00 $96,731.00 $40,581.21 2026-02-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 10 — — $9,435.00 $60,600.00 $40,527.00 2026-02-28
J9228 HCPCS Ipilimumab 5 Mg/ml Chemo Injection 37 12 $63,039.04 $26,665.52 58% off $93.56 $213,361.68 $40,344.99 2026-02-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 10 — — $12,137.00 $58,571.00 $40,189.80 2026-02-28
635 MS_DRG No Active Code Description 1 1 — — $40,188.00 $40,188.00 $40,188.00 2026-02-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $8,620.00 $82,073.00 $40,162.00 2026-02-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 11 — — $16,645.00 $80,053.00 $40,150.00 2026-02-28
460 MS_DRG No Active Code Description 4 3 — — $21,343.00 $48,532.00 $39,663.50 2026-02-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 18 10 — — $17,580.00 $90,859.00 $39,374.62 2026-02-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 10 — — $12,146.00 $63,732.00 $38,405.00 2026-02-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 10 — — $8,214.00 $59,899.00 $38,274.00 2026-02-28
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $10,660.00 $54,520.00 $38,246.40 2026-02-28
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $16,391.00 $136,354.00 $38,180.21 2026-02-28
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 10 — — $13,840.00 $66,564.00 $38,049.43 2026-02-28
332 MS_DRG Rectal Resection With Mcc 18 10 — — $10,363.00 $52,766.00 $37,649.18 2026-02-28
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 18 10 — — $12,855.00 $61,827.00 $37,543.79 2026-02-28
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 10 — — $13,623.00 $69,375.00 $37,537.86 2026-02-28
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 10 — — $19,096.00 $91,842.00 $37,153.44 2026-02-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 11 — — $11,144.00 $62,553.00 $37,120.50 2026-02-28
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 10 — — $9,724.00 $54,532.00 $37,083.63 2026-02-28
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 18 10 — — $10,924.00 $54,021.00 $37,071.31 2026-02-28
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10000 Unit/5 Ml Subcut Solution 15 8 $57,566.95 $24,350.82 58% off $12,089.06 $48,931.91 $36,842.85 2026-02-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 10 — — $8,573.00 $59,777.00 $36,603.00 2026-02-28
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 10 — — $10,647.00 $52,104.00 $36,531.95 2026-02-28
271 MS_DRG Other Major Cardiovascular Procedures With Cc 17 10 — — $10,938.00 $52,604.00 $36,491.00 2026-02-28
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 18 10 — — $17,469.00 $84,016.00 $36,191.74 2026-02-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 9 — — $14,211.00 $68,349.00 $36,020.03 2026-02-28
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $14,788.00 $71,122.00 $35,985.99 2026-02-28
252 MS_DRG Other Vascular Procedures With Mcc 18 10 — — $15,377.00 $73,958.00 $35,773.50 2026-02-28
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 9 — — $8,578.00 $53,283.00 $35,651.00 2026-02-28
265 MS_DRG Aicd Lead Procedures 18 10 — — $7,690.00 $54,264.00 $35,615.50 2026-02-28
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 10 — — $15,134.00 $93,551.00 $35,528.39 2026-02-28
264 MS_DRG Other Circulatory System O.r. Procedures 18 10 — — $10,879.00 $53,167.00 $35,128.50 2026-02-28
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 10 — — $11,060.00 $53,192.00 $34,763.67 2026-02-28
143 MS_DRG Other Ear Nose Mouth And Throat O.r. Procedures With Mcc 18 10 — — $10,315.00 $50,229.00 $34,621.88 2026-02-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 9 — — $13,675.00 $65,771.00 $34,509.01 2026-02-28
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 10 — — $8,791.00 $48,972.00 $34,427.21 2026-02-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 11 — — $12,355.00 $59,483.00 $34,369.40 2026-02-28
579 MS_DRG Other Skin Subcutaneous Tissue And Breast Procedures With Mcc 18 10 — — $9,056.00 $49,582.00 $34,283.94 2026-02-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 10 — — $7,455.00 $58,735.00 $33,998.00 2026-02-28
500 MS_DRG Soft Tissue Procedures With Mcc 18 10 — — $10,561.00 $50,793.00 $33,888.92 2026-02-28
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution 37 12 $75,284.42 $31,845.31 58% off $133.22 $63,991.76 $33,877.99 2026-02-28
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 18 10 — — $14,455.00 $71,596.00 $33,806.54 2026-02-28
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 10 — — $7,543.00 $48,283.00 $33,536.97 2026-02-28
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 10 — — $7,702.00 $48,511.00 $33,290.00 2026-02-28
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 10 — — $16,776.00 $80,682.00 $33,225.17 2026-02-28
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 10 — — $16,343.00 $78,601.00 $33,056.10 2026-02-28
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 18 10 — — $7,778.00 $46,911.00 $32,970.08 2026-02-28
652 MS_DRG Kidney Transplant 18 10 — — $10,669.00 $73,365.00 $32,928.96 2026-02-28
665 MS_DRG Prostatectomy With Mcc 18 10 — — $7,446.00 $52,232.00 $32,847.00 2026-02-28
634 MS_DRG No Active Code Description 1 1 — — $32,758.00 $32,758.00 $32,758.00 2026-02-28
632 MS_DRG No Active Code Description 1 1 — — $32,573.00 $32,573.00 $32,573.00 2026-02-28
248 MS_DRG No Active Code Description 3 2 — — $15,779.00 $38,787.00 $32,533.00 2026-02-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 10 — — $9,267.00 $65,821.00 $32,398.00 2026-02-28
246 MS_DRG No Active Code Description 3 2 — — $16,205.00 $38,602.00 $32,377.00 2026-02-28
791 MS_DRG Prematurity With Major Problems 16 9 — — $1,994.00 $59,584.00 $31,977.24 2026-02-28
662 MS_DRG Minor Bladder Procedures With Mcc 18 10 — — $7,091.00 $47,455.00 $31,808.00 2026-02-28
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 10 — — $10,662.00 $51,278.00 $31,613.00 2026-02-28
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $9,779.00 $47,033.00 $31,450.03 2026-02-28
570 MS_DRG Skin Debridement With Mcc 18 10 — — $8,708.00 $45,791.00 $31,192.00 2026-02-28
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 18 10 — — $9,577.00 $46,059.00 $31,132.31 2026-02-28
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 18 10 — — $8,112.00 $44,617.00 $30,936.50 2026-02-28
472 MS_DRG Cervical Spinal Fusion With Cc 18 10 — — $12,817.00 $61,641.00 $30,935.00 2026-02-28
974 MS_DRG HIV With Major Related Condition With Mcc 18 10 — — $7,491.00 $45,426.00 $30,923.00 2026-02-28
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 26 12 $136,980.03 $57,942.56 58% off $4,340.57 $116,433.03 $30,895.93 2026-02-28
625 MS_DRG Thyroid Parathyroid And Thyroglossal Procedures With Mcc 18 10 — — $9,998.00 $54,651.00 $30,595.19 2026-02-28
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 10 — — $11,878.00 $57,127.00 $30,532.97 2026-02-28
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 18 10 — — $10,787.00 $51,879.00 $30,182.23 2026-02-28
668 MS_DRG Transurethral Procedures With Mcc 18 10 — — $8,296.00 $44,363.00 $30,132.50 2026-02-28
406 MS_DRG Pancreas Liver And Shunt Procedures With Cc 18 10 — — $7,528.00 $42,721.00 $30,106.03 2026-02-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 11 — — $14,409.00 $69,299.00 $30,057.30 2026-02-28
33249 CPT Hc Insert Icd+lead Sngl/dual 20 11 $89,681.00 $37,935.07 58% off $737.14 $62,776.70 $30,012.53 2026-02-28
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 17 10 — — $8,811.00 $42,378.00 $29,740.00 2026-02-28
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 18 10 — — $10,435.00 $50,189.00 $29,499.00 2026-02-28
654 MS_DRG Major Bladder Procedures With Cc 18 10 — — $8,581.00 $42,930.00 $29,387.53 2026-02-28
800 MS_DRG Splenic Procedures With Cc 18 10 — — $9,612.00 $46,228.00 $29,242.50 2026-02-28
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 18 10 — — $7,979.00 $42,677.00 $29,146.67 2026-02-28
263 MS_DRG Vein Ligation And Stripping 18 10 — — $7,700.00 $40,800.00 $29,109.08 2026-02-28
793 MS_DRG Full Term Neonate With Major Problems 16 9 — — $2,168.00 $61,205.00 $29,028.64 2026-02-28
963 MS_DRG Other Multiple Significant Trauma With Mcc 18 10 — — $12,702.00 $61,092.00 $28,812.70 2026-02-28
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 18 10 — — $12,825.00 $61,682.00 $28,716.15 2026-02-28
338 MS_DRG No Active Code Description 3 2 — — $11,911.00 $34,234.00 $28,714.00 2026-02-28
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 18 10 — — $13,056.00 $62,795.00 $28,488.21 2026-02-28
613 MS_DRG No Active Code Description 1 1 — — $28,311.00 $28,311.00 $28,311.00 2026-02-28
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 10 — — $8,933.00 $42,964.00 $28,256.08 2026-02-28
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 10 — — $11,139.00 $53,575.00 $28,202.24 2026-02-28
288 MS_DRG Acute And Subacute Endocarditis With Mcc 18 10 — — $7,614.00 $41,552.00 $28,145.03 2026-02-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 10 — — $5,192.00 $60,557.00 $28,092.00 2026-02-28
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 18 10 — — $6,541.00 $40,507.00 $28,077.43 2026-02-28
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 18 10 — — $9,592.00 $46,134.00 $27,976.88 2026-02-28
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 10 — — $9,203.00 $44,263.00 $27,919.00 2026-02-28
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 18 10 — — $8,023.00 $77,110.00 $27,713.89 2026-02-28
503 MS_DRG Foot Procedures With Mcc 18 10 — — $6,459.00 $40,260.00 $27,698.19 2026-02-28
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 11 — — $8,422.00 $47,477.00 $27,529.94 2026-02-28
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 10 — — $9,615.00 $46,241.00 $27,477.00 2026-02-28
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 18 10 — — $10,634.00 $51,144.00 $27,344.47 2026-02-28
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 18 10 — — $10,007.00 $48,126.00 $27,251.00 2026-02-28
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 9 — — $10,740.00 $51,653.00 $27,221.21 2026-02-28
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 18 10 — — $8,134.00 $39,119.00 $27,146.60 2026-02-28
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 16 10 — — $6,246.00 $51,472.00 $27,060.10 2026-02-28
253 MS_DRG Other Vascular Procedures With Cc 18 10 — — $8,814.00 $42,393.00 $26,979.31 2026-02-28
164 MS_DRG Major Chest Procedures With Cc 18 10 — — $7,575.00 $38,289.00 $26,784.78 2026-02-28
33277 CPT Inst Phrnc Nrv Sens Lead 5 3 $40,855.00 $17,281.67 58% off $5,079.00 $28,598.50 $26,555.75 2026-02-28
545 MS_DRG Connective Tissue Disorders With Mcc 18 10 — — $6,008.00 $38,439.00 $26,535.18 2026-02-28
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 17 10 — — $7,834.00 $38,063.00 $26,485.90 2026-02-28
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 10 — — $6,257.00 $37,244.00 $26,081.18 2026-02-28
327 MS_DRG Stomach Esophageal And Duodenal Procedures With Cc 18 10 — — $7,600.00 $36,936.00 $26,034.78 2026-02-28
347 MS_DRG Anal And Stomal Procedures With Mcc 18 10 — — $6,354.00 $36,004.00 $25,982.85 2026-02-28
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 18 10 — — $7,444.00 $38,848.00 $25,921.50 2026-02-28
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 10 — — $11,595.00 $52,708.00 $25,914.00 2026-02-28
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 18 10 — — $8,424.00 $40,517.00 $25,855.50 2026-02-28
510 MS_DRG Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc 17 10 — — $11,342.00 $43,477.00 $25,698.00 2026-02-28
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 18 10 — — $8,500.00 $40,882.00 $25,519.03 2026-02-28
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 18 10 — — $8,315.00 $39,991.00 $25,408.00 2026-02-28
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 18 10 — — $7,241.00 $36,524.00 $25,385.85 2026-02-28
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 10 — — $6,887.00 $35,957.00 $25,032.44 2026-02-28
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 18 10 — — $11,046.00 $53,126.00 $24,960.60 2026-02-28
318 MS_DRG No Active Code Description 1 1 — — $24,912.00 $24,912.00 $24,912.00 2026-02-28
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 10 — — $5,004.00 $53,691.00 $24,906.61 2026-02-28
33289 CPT Impt Wireless Pulm/art Sensor 20 10 $110,250.00 $46,635.75 58% off $512.00 $77,175.00 $24,818.33 2026-02-28
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 18 10 — — $7,706.00 $37,063.00 $24,813.18 2026-02-28
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 18 10 — — $5,883.00 $35,115.00 $24,792.76 2026-02-28
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $8,811.00 $42,378.00 $24,722.33 2026-02-28
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 17 10 — — $8,171.00 $39,298.00 $24,502.27 2026-02-28
J3101 HCPCS Tenecteplase (tnkase) Injection-stroke (mct) 48 12 $50,436.37 $21,334.59 58% off $60.36 $42,870.92 $24,480.99 2026-02-28
341 MS_DRG No Active Code Description 3 2 — — $10,560.00 $29,112.00 $24,418.00 2026-02-28
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 18 10 — — $7,649.00 $36,789.00 $23,952.16 2026-02-28
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 18 10 — — $14,272.00 $68,642.00 $23,946.50 2026-02-28
C9047 HCPCS Caplacizumab-yhdp 11 Mg Solution For Injection (wrapper) 19 9 $47,843.17 $20,237.67 58% off $478.49 $40,666.70 $23,921.59 2026-02-28
629 MS_DRG Other Endocrine Nutritional And Metabolic O.r. Procedures With Cc 18 10 — — $6,376.00 $34,213.00 $23,848.92 2026-02-28
397 MS_DRG Appendix Procedures With Mcc 15 10 — — $7,819.00 $37,692.00 $23,720.00 2026-02-28
357 MS_DRG Other Digestive System O.r. Procedures With Cc 18 10 — — $6,151.00 $34,257.00 $23,515.76 2026-02-28
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 18 10 — — $7,617.00 $36,632.00 $23,470.00 2026-02-28
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 18 10 — — $6,003.00 $33,457.00 $23,427.88 2026-02-28
709 MS_DRG Penis Procedures With Cc/mcc 18 10 — — $5,615.00 $34,183.00 $23,352.33 2026-02-28
33270 CPT Hc Ins/rep Subc Defibrillator 20 10 $78,718.00 $33,297.72 58% off $512.00 $55,102.60 $23,199.85 2026-02-28
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 10 — — $5,049.00 $34,840.00 $22,945.00 2026-02-28
113 MS_DRG Orbital Procedures With Cc/mcc 18 10 — — $4,922.00 $34,327.00 $22,932.00 2026-02-28
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 18 10 — — $11,149.00 $53,622.00 $22,739.57 2026-02-28
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 10 — — $5,405.00 $33,145.00 $22,672.50 2026-02-28
676 MS_DRG No Active Code Description 1 1 — — $22,661.00 $22,661.00 $22,661.00 2026-02-28
407 MS_DRG Pancreas Liver And Shunt Procedures Without Cc/mcc 18 10 — — $6,414.00 $32,490.00 $22,658.78 2026-02-28
835 MS_DRG Acute Leukemia With Cc 18 10 — — $12,328.00 $59,290.00 $22,638.30 2026-02-28
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 18 10 — — $5,542.00 $32,119.00 $22,612.14 2026-02-28
734 MS_DRG Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 18 10 — — $5,331.00 $31,988.00 $22,603.62 2026-02-28
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 17 11 — — $10,332.00 $49,691.00 $22,546.86 2026-02-28
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 18 10 — — $4,997.00 $34,734.00 $22,519.50 2026-02-28
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 18 10 — — $4,216.00 $48,380.00 $22,443.12 2026-02-28
595 MS_DRG Major Skin Disorders With Mcc 18 10 — — $4,982.00 $32,175.00 $22,427.22 2026-02-28
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 18 10 — — $6,065.00 $32,619.00 $22,393.76 2026-02-28
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 17 10 — — $7,619.00 $36,643.00 $22,314.34 2026-02-28
141 MS_DRG Major Head And Neck Procedures With Cc 18 10 — — $2,950.00 $36,951.00 $22,307.49 2026-02-28
336 MS_DRG Peritoneal Adhesiolysis With Cc 18 10 — — $6,679.00 $32,132.00 $22,293.40 2026-02-28
333 MS_DRG Rectal Resection With Cc 18 10 — — $6,907.00 $33,220.00 $22,225.70 2026-02-28
412 MS_DRG Cholecystectomy With C.d.e. With Cc 18 10 — — $9,182.00 $44,161.00 $22,188.54 2026-02-28
655 MS_DRG Major Bladder Procedures Without Cc/mcc 18 10 — — $5,591.00 $31,600.00 $22,121.16 2026-02-28
146 MS_DRG Ear Nose Mouth And Throat Malignancy With Mcc 18 10 — — $7,158.00 $52,122.00 $22,029.50 2026-02-28
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 10 — — $4,850.00 $32,759.00 $21,985.50 2026-02-28
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 10 — — $8,514.00 $40,949.00 $21,934.96 2026-02-28
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 18 10 — — $4,701.00 $34,353.00 $21,903.50 2026-02-28
374 MS_DRG Digestive Malignancy With Mcc 18 10 — — $7,361.00 $35,405.00 $21,853.50 2026-02-28
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 18 10 — — $5,069.00 $32,263.00 $21,826.91 2026-02-28
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 18 10 — — $6,885.00 $33,115.00 $21,522.42 2026-02-28
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $8,965.00 $43,118.00 $21,428.28 2026-02-28
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 18 10 — — $7,497.00 $36,059.00 $21,420.47 2026-02-28
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 18 10 — — $12,302.00 $66,469.00 $21,334.50 2026-02-28
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 18 10 — — $6,104.00 $30,853.00 $21,301.30 2026-02-28
908 MS_DRG Other O.r. Procedures For Injuries With Cc 18 10 — — $7,332.00 $35,264.00 $21,255.05 2026-02-28
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhalation Injury 18 10 — — $5,107.00 $32,642.00 $21,185.50 2026-02-28
539 MS_DRG Osteomyelitis With Mcc 18 10 — — $4,973.00 $30,765.00 $21,179.10 2026-02-28
584 MS_DRG Breast Biopsy Local Excision And Other Breast Procedures With Cc/mcc 18 10 — — $5,234.00 $31,145.00 $21,175.42 2026-02-28
711 MS_DRG Testes Procedures With Cc/mcc 18 10 — — $5,586.00 $29,064.00 $21,155.40 2026-02-28
93654 CPT Hc Ep&ablate Ventric Tachy 20 12 $83,880.00 $35,481.24 58% off $1,378.12 $58,716.00 $20,998.28 2026-02-28
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 20 12 $83,880.00 $35,481.24 58% off $1,382.82 $58,716.00 $20,998.28 2026-02-28
93653 CPT Hc Ep&ablate Supravent Arrhyt 20 12 $83,880.00 $35,481.24 58% off $1,029.14 $58,716.00 $20,998.28 2026-02-28
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 18 10 — — $4,928.00 $30,400.00 $20,996.08 2026-02-28
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 15 8 $32,734.74 $13,846.80 58% off $6,874.30 $27,824.53 $20,950.24 2026-02-28
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 10 — — $7,609.00 $36,596.00 $20,934.15 2026-02-28
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 18 10 — — $7,881.00 $37,905.00 $20,899.15 2026-02-28
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 10 — — $4,733.00 $29,847.00 $20,850.46 2026-02-28
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 18 10 — — $5,732.00 $29,997.00 $20,828.33 2026-02-28
548 MS_DRG Septic Arthritis With Mcc 18 10 — — $4,848.00 $30,646.00 $20,777.00 2026-02-28
283 MS_DRG Acute Myocardial Infarction Expired With Mcc 18 10 — — $5,236.00 $29,746.00 $20,718.00 2026-02-28
617 MS_DRG Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 18 10 — — $7,682.00 $36,945.00 $20,699.04 2026-02-28
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 18 10 — — $4,475.00 $30,374.00 $20,657.08 2026-02-28
247 MS_DRG No Active Code Description 3 2 — — $11,812.00 $24,608.00 $20,640.00 2026-02-28
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 20 11 — — $12,950.00 $80,195.00 $20,576.49 2026-02-28
380 MS_DRG Complicated Peptic Ulcer With Mcc 18 10 — — $6,139.00 $29,524.00 $20,470.40 2026-02-28
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 18 10 — — $6,766.00 $32,542.00 $20,282.47 2026-02-28
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 18 10 — — $4,485.00 $31,801.00 $20,268.00 2026-02-28
647 MS_DRG No Active Code Description 1 1 — — $20,208.00 $20,208.00 $20,208.00 2026-02-28
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 17 11 — — $10,005.00 $48,120.00 $20,089.01 2026-02-28
902 MS_DRG Wound Debridements For Injuries With Cc 18 10 — — $6,941.00 $33,381.00 $19,992.60 2026-02-28
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 18 10 — — $7,865.00 $60,910.00 $19,977.10 2026-02-28
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 18 10 — — $5,925.00 $29,098.00 $19,950.04 2026-02-28
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 18 10 — — $9,306.00 $44,757.00 $19,912.56 2026-02-28
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc/mcc 18 10 — — $4,943.00 $28,681.00 $19,846.03 2026-02-28
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 18 10 — — $6,100.00 $29,337.00 $19,842.33 2026-02-28
165 MS_DRG Major Chest Procedures Without Cc/mcc 18 10 — — $5,634.00 $28,355.00 $19,770.77 2026-02-28
249 MS_DRG No Active Code Description 3 2 — — $10,906.00 $23,412.00 $19,637.00 2026-02-28
906 MS_DRG Hand Procedures For Injuries 18 10 — — $5,589.00 $33,200.00 $19,595.00 2026-02-28
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